Cancer Nursing最新文献

{"title":"Effect of a Nursing Care Bundle on the Incidence and Severity of Arm Lymphedema Among Postmastectomy Women.","authors":"Amany Samy Shahba, Amr Hossam Eldin Sedky, Om Hashim Mahmoud Mahmoud Saadoon, Samia I Hassan","doi":"10.1097/NCC.0000000000001604","DOIUrl":"10.1097/NCC.0000000000001604","url":null,"abstract":"<p><strong>Background: </strong>Arm lymphedema is a common postoperative complication following mastectomy and may become chronic if not detected and managed early. A nursing care bundle is a structured set of evidence-based nursing interventions aimed at preventing complications and improving patient outcomes.</p><p><strong>Objective: </strong>This study aimed to evaluate the effectiveness of a nursing care bundle in reducing the incidence and severity of arm lymphedema among women after mastectomy.</p><p><strong>Methods: </strong>A quasi-experimental study was conducted among 84 postmastectomy women at the Oncology Center of Mansoura University, Egypt. Participants were allocated to a control group receiving standard postoperative care or an intervention group receiving the nursing care bundle. Arm lymphedema was assessed at 2 weeks and 2 months postoperatively.</p><p><strong>Results: </strong>The intervention group demonstrated a significantly lower incidence and severity of arm lymphedema compared with the control group ( P <.001). At 2 months postoperatively, only 11.9% of women in the intervention group developed mild (stage 0) lymphedema, whereas 78.6% and 14.3% of women in the control group developed stage 1 and stage 2 lymphedema, respectively.</p><p><strong>Conclusions: </strong>The nursing care bundle was effective in reducing the risk and progression of arm lymphedema among postmastectomy women.</p><p><strong>Implications for oncology nursing practice: </strong>Early postoperative nursing interventions are essential for preventing arm lymphedema postmastectomy. Oncology nurses play a critical role in patient education and self-care support. Integrating a nursing care bundle into routine postoperative care may enhance patient independence, reduce lymphedema risk, and improve recovery.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Influencing Interoception in Patients With Lung Cancer Undergoing Chemotherapy: A Cross-Sectional Study Based on the Common-Sense Model of Self-Regulation.","authors":"Xingliang Zhang, Xueru Chen, Xinyu Wu, Jianxin Li, Teng Wang, Liping Teng","doi":"10.1097/NCC.0000000000001603","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001603","url":null,"abstract":"<p><strong>Background: </strong>Interoception is essential for symptom appraisal, emotional regulation, and self-management in cancer care. Patients with lung cancer undergoing chemotherapy face substantial physical and psychological burdens that may disrupt interoceptive processing, yet related evidence remains limited.</p><p><strong>Objective: </strong>Guided by the Common-Sense Model of Self-Regulation, this study examined interoception levels and associated factors in patients with lung cancer receiving chemotherapy.</p><p><strong>Methods: </strong>A cross-sectional study included 352 patients at a tertiary hospital in China. Interoception was measured using the Multidimensional Assessment of Interoceptive Awareness. Illness perception, anxiety, depression, social support, coping, and symptom burden were assessed with validated instruments. Multivariable regression, random forest, and Bayesian network analyses were used to identify predictors and structural relationships.</p><p><strong>Results: </strong>The mean interoception score was 18.89 ± 2.80, indicating a low level. Regression explained 88.2% of the variance (adjusted R2 = 0.882, P <.001). Lower interoception was associated with advanced stage, more chemotherapy cycles, higher symptom burden, negative illness perception, anxiety, depression, maladaptive coping, and alcohol use, whereas social support and confrontation coping were protective. Bayesian network analysis identified depression as the central hub linking clinical and psychosocial factors.</p><p><strong>Conclusions: </strong>Interoception in patients with lung cancer undergoing chemotherapy is shaped by interacting emotional, cognitive, behavioral, and treatment-related factors, with emotional distress playing a central role.</p><p><strong>Implications for oncology nursing practice: </strong>Nursing interventions should prioritize emotional regulation, cognition reappraisal, and adaptive coping to enhance interoceptive engagement, ultimately improving self-management outcomes for patients with lung cancer undergoing chemotherapy.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managing Cancer at Home: A Qualitative Exploration of Caregiver and Healthcare Provider Perspectives.","authors":"Mohammad Al Qadire, Hanan Abdelrahman, Rama Al Qadire, Alaa Alanazi, Wesam Almagharbeh, Omar Al Omari","doi":"10.1097/NCC.0000000000001607","DOIUrl":"10.1097/NCC.0000000000001607","url":null,"abstract":"<p><strong>Background: </strong>Cancer care is increasingly delivered in outpatient and home settings, transferring substantial clinical responsibilities to patients and family caregivers. Although self-management interventions are widely studied, less is known about how home-based cancer self-management is experienced and co-produced by family caregivers and healthcare providers within real-world contexts.</p><p><strong>Objective: </strong>To explore home-based cancer self-management from the perspectives of family caregivers and healthcare providers in Oman.</p><p><strong>Methods: </strong>A qualitative descriptive design was used. Purposive sampling recruited 25 family caregivers of adult cancer survivors and 26 healthcare providers from 3 tertiary oncology institutions in Muscat, Oman. Semi-structured individual interviews were conducted and analyzed using inductive qualitative content analysis.</p><p><strong>Results: </strong>Participants included 51 individuals representing both caregiving and professional perspectives. Five themes emerged: relocation of clinical work to the home, structured education and skill transfer, psychological protection and emotional labor, negotiated illness disclosure, and support systems amid structural barriers. Self-management was described as a relational and system-embedded process shaped by family dynamics, professional guidance, and contextual constraints.</p><p><strong>Conclusions: </strong>Home-based cancer self-management extends beyond symptom control to include emotional regulation, communication negotiation, and navigation of systemic demands. Its effectiveness depends on coordinated interaction among caregivers, healthcare providers, and supportive infrastructure.</p><p><strong>Implications for oncology nursing practice: </strong>Oncology nurses play a central role in preparing and supporting family caregivers through structured, repeated education and clear discharge guidance. Routine integration of psychosocial assessment and culturally sensitive communication strategies can strengthen treatment adherence and improve sustainability of home-based cancer care.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Reflexology Socks in the Management of Opioid-Induced Constipation: A Randomized Controlled Trial: Erratum.","authors":"Ferda Akyuz Ozdemir, Gulbeyaz Can","doi":"10.1097/NCC.0000000000001559","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001559","url":null,"abstract":"","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":"49 4","pages":"312"},"PeriodicalIF":2.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility and Preliminary Outcomes of an Education Program to Promote Self-regulation Among Patients With Gastrointestinal Tract Cancer Newly Taking Oral Anticancer Agents: A Pilot Randomized Controlled Trial.","authors":"Yongfeng Chen, Marques Shek Nam Ng, MeiMei Shang, Carmen Wing Han Chan","doi":"10.1097/NCC.0000000000001524","DOIUrl":"10.1097/NCC.0000000000001524","url":null,"abstract":"<p><strong>Background: </strong>Suboptimal adherence to oral anticancer agents (OAAs) reduces therapeutic benefits among patients with gastrointestinal tract cancer. Self-regulation is an important mechanism to foster behavioral change, but little is known about how to utilize this mechanism to enhance adherence.</p><p><strong>Objective: </strong>The aim of this study was to evaluate the feasibility, acceptability, and preliminary outcomes of an education program to promote self-regulation in managing adherence to OAAs.</p><p><strong>Methods: </strong>A 2-arm pilot randomized controlled trial was adopted. Twenty-four participants were randomized to the control or intervention group with a 1:1 ratio. The control group received usual care. The intervention group received usual care and 4 sessions of education to promote self-regulation. Feasibility, acceptability, and preliminary outcomes were evaluated using descriptive statistics and Cohen's d .</p><p><strong>Results: </strong>The consent and attrition rates were 64.86% and 8.33%, respectively. Most (83.33%) participants in the intervention group finished all education sessions. They were satisfied with the educational content and perceived the program as helpful. A favorable trend of better adherence (adherence rate: 90.91%), more self-management behaviors (Cohen's d  = 0.915), less negative illness perceptions (Cohen's d  = -0.714), higher medication self-efficacy (Cohen's d  = 0.431), and necessity beliefs (Cohen's d  = 0.451) was found in the intervention group.</p><p><strong>Conclusions: </strong>The education program is considered feasible and acceptable. A full-scale randomized control trial is needed to explore its effectiveness in a larger sample.</p><p><strong>Implications for practice: </strong>This education program to promote self-regulation is promising to support adherence to OAAs, self-management behaviors, favorable illness perceptions, and medication self-efficacy.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E422-E432"},"PeriodicalIF":2.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological Symptom Cluster Severity Profiles Are Associated With Higher Levels of Stress and Worse Quality of Life in Postmenopausal Women With Breast Cancer.","authors":"Carolyn S Harris, Yvette P Conley, Margaret Q Rosenzweig, Kirk I Erickson, Bruce A Cooper, Catherine M Bender","doi":"10.1097/NCC.0000000000001423","DOIUrl":"10.1097/NCC.0000000000001423","url":null,"abstract":"<p><strong>Background: </strong>Although common, the severity of the psychological symptom cluster (PSC) (ie, co-occurrence of anxiety, depression, fatigue, sleep disturbance) varies among women with breast cancer. In addition, the impact of various types of stress and other risk factors on its severity are understudied, and the influence of the PSC on quality of life (QOL) outcomes remains poorly characterized.</p><p><strong>Objective: </strong>To identify subgroups of postmenopausal women with breast cancer with distinct PSC severity profiles following surgery and evaluate whether these subgroups differed in terms of demographic and clinical characteristics, symptoms, social and posttraumatic stress, and QOL.</p><p><strong>Methods: </strong>Following surgery, 159 postmenopausal women with early-stage, hormone receptor-positive breast cancer completed assessments of anxiety, depression, fatigue, sleep disturbance, cognitive function, physical symptoms, stress, and QOL. Latent profile analysis was used to identify subgroups of women based on the severity of the prespecified PSC. Parametric and nonparametric tests were used to evaluate for subgroup differences.</p><p><strong>Results: </strong>Three distinct PSC severity subgroups were identified (ie, Lower [71.7%], Moderate [23.9%], Higher [4.4%]). Compared with the Lower subgroup, the Moderate subgroup was less likely to have received prior radiation, and the Moderate and Higher subgroups had worse perceived cognitive function, higher symptom burden, higher posttraumatic stress, and lower QOL. Clinically relevant sleep disturbance was common across PSC subgroups.</p><p><strong>Conclusions: </strong>PSC severity is associated with higher posttraumatic stress and poorer QOL following breast surgery. Sleep disturbance is a common problem and may be undertreated.</p><p><strong>Implications for practice: </strong>Assessments of posttraumatic stress and sleep disturbance are needed for timely intervention.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E377-E386"},"PeriodicalIF":2.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13383624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Decrements in Morning and Evening Energy Are Associated With a Higher Symptom Burden in Patients With Gynecologic Cancers Receiving Chemotherapy.","authors":"David Ayangba Asakitogum, Jerry J Nutor, Marilyn J Hammer, Rachel Pozzar, Steven M Paul, Bruce A Cooper, Yvette P Conley, Jon Levine, Christine Miaskowski, Christine Miaskowski","doi":"10.1097/NCC.0000000000001420","DOIUrl":"10.1097/NCC.0000000000001420","url":null,"abstract":"<p><strong>Background: </strong>Decrements in energy are a significant problem associated with chemotherapy. To date, no study examined the variability of energy in patients with gynecologic cancers.</p><p><strong>Objective: </strong>To identify distinct morning and evening energy profiles in patients with gynecologic cancers and evaluate for differences in demographic and clinical characteristics, other common symptoms, and quality-of-life (QOL) outcomes.</p><p><strong>Methods: </strong>A sample of 232 patients with gynecologic cancers completed questionnaires 6 times over 2 cycles of chemotherapy. Latent profile analysis was used to identify distinct morning and evening energy profiles. Differences in demographic and clinical characteristics, other common symptoms, and QOL outcomes were evaluated using parametric and nonparametric tests.</p><p><strong>Results: </strong>Three distinct morning (ie, high [9.2%], low [63.1%], very low [27.1%]) and 2 distinct evening (moderate [30.6%], very low [69.4%]) energy classes were identified. Clinical risk factors associated with the worst morning energy profiles included lower functional status and a higher comorbidity burden. Less likely to exercise on a regular basis was the only characteristic associated with the worst evening energy profile. For both symptoms, the worst profiles were associated with higher levels of depression and sleep disturbance, lower levels of cognitive function, and poorer QOL.</p><p><strong>Conclusions: </strong>Approximately 70% of patients with gynecologic cancers experienced decrements in morning and evening energy. The study identified modifiable risk factors associated with more decrements in morning and evening energy.</p><p><strong>Implications for practice: </strong>Clinicians can use these findings to identify higher-risk patients and develop individualized energy conservation interventions for these vulnerable patients.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"235-250"},"PeriodicalIF":2.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142562996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effects of Symptom Distress and Depression on Quality of Life in Patients With Terminal Cancer: The Mediating Role of Meaning in Life and Spiritual Well-being.","authors":"Kyung-Ah Kang, Inhye Song, Myung-Nam Lee","doi":"10.1097/NCC.0000000000001431","DOIUrl":"10.1097/NCC.0000000000001431","url":null,"abstract":"<p><strong>Background: </strong>Terminal cancer patients experience worsening physical symptoms, psychological challenges, and spiritual difficulties. Improving the quality of life (QOL) and reconstructing the meaning of life (MIL) for these patients ensure a dignified end-of-life experience. Spiritual well-being is necessary to promote effective end-of-life coping strategies.</p><p><strong>Objective: </strong>This study aimed to construct and verify the suitability of a model that explains the impact of physical and psychological factors on the QOL of patients with terminal cancer using MIL and spiritual well-being as mediating factors.</p><p><strong>Methods: </strong>The participants were patients with terminal cancer 25 years or older hospitalized in 40 nationally designated hospices. A total of 172 patients were included in the final analysis. Data analysis was performed using structural equation modeling.</p><p><strong>Results: </strong>In the effect analysis of the final model, the variables affecting QOL were depression ( β  = -.62, P  < .001), symptom distress ( β  = -.33, P  = .001), and spiritual well-being ( β  = .36, P  = .002), and a significant indirect effect of MIL was found in the depression-MIL-spiritual well-being and depression-MIL-QOL paths.</p><p><strong>Conclusions: </strong>Spiritual interventions that help people find their MIL can serve as an important component of optimal hospice and palliative care for patients with terminal cancer.</p><p><strong>Implications for practice: </strong>In clinical practice, interventions that increase the MIL and spiritual well-being of patients with terminal cancer are needed. Additionally, the practice will see other benefits including enhanced patient care, psychological support, effective treatment planning, family caregiver support, and further research advancement.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"280-289"},"PeriodicalIF":2.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Women's Perceptions of Their Nurses' Communication on Their Distress and Fear of Cancer During Colposcopy: A Multicenter Study.","authors":"Gizem Akinci, Ruveyde Aydin","doi":"10.1097/NCC.0000000000001469","DOIUrl":"10.1097/NCC.0000000000001469","url":null,"abstract":"<p><strong>Background: </strong>Effective communication between nurses and women can help determine women's stress and fear levels during colposcopy and enable appropriate interventions to be taken.</p><p><strong>Objective: </strong>This study aimed to examine the effect of women's perceptions of nurse communication on their levels of distress and cancer worry during colposcopy.</p><p><strong>Methods: </strong>This descriptive and correlational study was conducted with 227 women who underwent colposcopy at three hospitals between December 2023 and May 2024. Data collection instruments included the Descriptive Information Form, the Health Care Communication Questionnaire (HCCQ), the Cervical Dysplasia Distress Questionnaire (CDDQ), and the Cancer Worry Scale (CWS). Descriptive statistics, Pearson correlation analysis, and hierarchical multiple regression analysis were used for statistical analyses.</p><p><strong>Results: </strong>The average age of participants was 36.28 ± 7.75 years, with 92.5% being married and 41% being high school graduates. A strong negative correlation was found between HCCQ and CDDQ ( r  = -0.714, P  = .000) and CWS ( r  = -0.718, P  = .000). A strong positive relationship was also identified between CDDQ and CWS scores ( r  = 0.759, P  = .000). Descriptive characteristics and the HCCQ significantly explained 73.4% of the variance in the CDDQ ( R2  = 0.734, P  = .000). Additionally, descriptive characteristics, the HCCQ, and the CDDQ significantly explained 82% of the variance in the CWS ( R2  = 0.820, P  = .000).</p><p><strong>Conclusion: </strong>The study demonstrated that women's descriptive characteristics and their perceptions of nurse communication are significant predictors of cervical dysplasia distress and cancer fear during colposcopy.</p><p><strong>Implications for practice: </strong>By gaining effective communication skills and equipping themselves with psychoeducation, nurses can take initiatives to reduce women's stress and cancer fear levels during colposcopy.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E352-E360"},"PeriodicalIF":2.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and Facilitators of Implementing Colorectal Cancer Screening Management in China: A Mixed-Methods Study.","authors":"Bingzi Shi, Jing Zhang, Yasi Zhang, Yujing Sun, Chen Xu, Wenming Cui","doi":"10.1097/NCC.0000000000001443","DOIUrl":"10.1097/NCC.0000000000001443","url":null,"abstract":"<p><strong>Background: </strong>Colorectal cancer is a major cause of cancer-related deaths in China. Timely screening is essential for reducing mortality, but implementing comprehensive programs in Chinese healthcare settings is challenging.</p><p><strong>Objective: </strong>This study identifies barriers and facilitators to colorectal cancer screening (CRCS) in China and recommends effective implementation strategies.</p><p><strong>Methods: </strong>Conducted from October 2023 to April 2024, this mixed-methods study under the Consolidated Framework for Implementation Research involved 128 practitioners and 440 residents near 5 community health centers and 4 tertiary care hospitals in Harbin, Heilongjiang Province. Quantitative data were analyzed using descriptive statistics and logistic regression, whereas qualitative data from 21 practitioners and 23 community members underwent directed content analysis.</p><p><strong>Results: </strong>The study identified 18 facilitators and 29 barriers to CRCS implementation in China, analyzed across 5 Consolidated Framework for Implementation Research domains: innovation (2 facilitators, 5 barriers), outer setting (5 facilitators, 4 barriers), inner setting (3 facilitators, 4 barriers), individual characteristics (5 facilitators, 11 barriers), and implementation process (3 facilitators, 5 barriers).</p><p><strong>Conclusion: </strong>This study highlights critical facilitators and barriers from the perspectives of healthcare professionals and the screening-eligible population. It suggests strategies to enhance early CRCS initiatives in China, including regular training, public education, financial support, and improved accessibility.</p><p><strong>Implications for practice: </strong>The findings from this study provide actionable insights for enhancing the implementation of CRCS in Chinese healthcare settings.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E409-E421"},"PeriodicalIF":2.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}